Search Results - "Steffens, Nicole M"

"Best Case/Worst Case": Qualitative Evaluation of a Novel Communication Tool for Difficult in-the-Moment Surgical Decisions by Kruser, Jacqueline M., Nabozny, Michael J., Steffens, Nicole M., Brasel, Karen J., Campbell, Toby C., Gaines, Martha E., Schwarze, Margaret L.

“…Objectives To evaluate a communication tool called “Best Case/Worst Case” (BC/WC) based on an established conceptual model of shared decision‐making. Design…”
Get full text

“Best Case/Worst Case”: Training surgeons to use a novel communication tool for high-risk acute surgical problems by Kruser, Jacqueline M., MD, Taylor, Lauren J., MD, Campbell, Toby C., MD, MSCI, Zelenski, Amy, PhD, Johnson, Sara K., MD, Nabozny, Michael J., MD, Steffens, Nicole M., MPH, Tucholka, Jennifer L., BS, Kwekkeboom, Kris L., PhD, RN, Schwarze, Margaret L., MD, MPP

“…Abstract Context Older adults often have surgery in the months preceding death, which can initiate post-operative treatments inconsistent with end-of-life…”
Get full text

Oncologists' perceived barriers to an expanded role for primary care in breast cancer survivorship care by Neuman, Heather B., Jacobs, Elizabeth A., Steffens, Nicole M., Jacobson, Nora, Tevaarwerk, Amye, Wilke, Lee G., Tucholka, Jennifer, Greenberg, Caprice C.

“…Concern exists about the sustainability of traditional, oncologist‐led models of breast cancer survivorship care. However, many oncologists are hesitant about…”
Get full text

A Framework to Improve Surgeon Communication in High-Stakes Surgical Decisions: Best Case/Worst Case by Taylor, Lauren J, Nabozny, Michael J, Steffens, Nicole M, Tucholka, Jennifer L, Brasel, Karen J, Johnson, Sara K, Zelenski, Amy, Rathouz, Paul J, Zhao, Qianqian, Kwekkeboom, Kristine L, Campbell, Toby C, Schwarze, Margaret L

“…Although many older adults prefer to avoid burdensome interventions with limited ability to preserve their functional status, aggressive treatments, including…”
Get more information

Itʼs Big Surgery: Preoperative Expressions of Risk, Responsibility, and Commitment to Treatment After High-Risk Operations by Pecanac, Kristen E, Kehler, Jacqueline M, Brasel, Karen J, Cooper, Zara, Steffens, Nicole M, McKneally, Martin F, Schwarze, Margaret L

“…OBJECTIVE:To identify the processes, surgeons use to establish patient buy-in to postoperative treatments. BACKGROUND:Surgeons generally believe they confirm…”
Get full text

Engaging Patients, Health Care Professionals, and Community Members to Improve Preoperative Decision Making for Older Adults Facing High-Risk Surgery by Steffens, Nicole M, Tucholka, Jennifer L, Nabozny, Michael J, Schmick, Andrea E, Brasel, Karen J, Schwarze, Margaret L

“…Older patients are at greater risk for postoperative complications, yet they are less likely than younger patients to ask questions about surgery. To design an…”
Get more information

Constructing High-stakes Surgical Decisions: Itʼs Better to Die Trying by Nabozny, Michael J, Kruser, Jacqueline M, Steffens, Nicole M, Brasel, Karen J, Campbell, Toby C, Gaines, Martha E, Schwarze, Margaret L

“…OBJECTIVE:To explore high-stakes surgical decision making from the perspective of seniors and surgeons. BACKGROUND:A majority of older chronically ill patients…”
Get full text

Patient-reported Limitations to Surgical Buy-in: A Qualitative Study of Patients Facing High-risk Surgery by Nabozny, Michael J, Kruser, Jacqueline M, Steffens, Nicole M, Pecanac, Kristen E, Brasel, Karen J, Chittenden, Eva H, Cooper, Zara, McKneally, Martin F, Schwarze, Margaret L

“…OBJECTIVE:To characterize how patients buy-in to treatments beyond the operating room and what limits they would place on additional life-supporting…”
Get full text

Quality of online information to support patient decision-making in breast cancer surgery by Bruce, Jordan G., Tucholka, Jennifer L., Steffens, Nicole M., Neuman, Heather B.

“…Background Breast cancer patients commonly use the internet as an information resource. Our objective was to evaluate the quality of online information…”
Get full text

“And I Think That We Can Fix It”: Mental Models Used in High-risk Surgical Decision Making by Kruser, Jacqueline M, Pecanac, Kristen E, Brasel, Karen J, Cooper, Zara, Steffens, Nicole M, McKneally, Martin F, Schwarze, Margaret L

“…OBJECTIVE:To examine how surgeons use the “fix-it” model to communicate with patients before high-risk operations. BACKGROUND:The “fix-it” model characterizes…”
Get full text

Barriers to Goal-concordant Care for Older Patients With Acute Surgical Illness: Communication Patterns Extrinsic to Decision Aids by Taylor, Lauren J, Johnson, Sara K, Nabozny, Michael J, Tucholka, Jennifer L, Steffens, Nicole M, Kwekkeboom, Kristine L, Brasel, Karen J, Campbell, Toby C, Schwarze, Margaret L

“…OBJECTIVE:We sought to characterize patterns of communication extrinsic to a decision aid that may impede goal-concordant care. BACKGROUND:Decision aids are…”
Get full text

When Do Not Resuscitate Is a Nonchoice Choice: A Teachable Moment by Nabozny, Michael J, Steffens, Nicole M, Schwarze, Margaret L

Get more information

A Randomized Controlled Trial Evaluating the Impact of Pre-Consultation Information on Patients’ Perception of Information Conveyed and Satisfaction with the Decision-Making Process by Stankowski-Drengler, Trista J., Tucholka, Jennifer L., Bruce, Jordan G., Steffens, Nicole M., Schumacher, Jessica R., Greenberg, Caprice C., Wilke, Lee G., Hanlon, Bret, Steiman, Jennifer, Neuman, Heather B.

“…Background Patient participation in treatment decision-making is a health care priority. This study hypothesized that providing a decision aid before surgical…”
Get full text

A Randomized Controlled Trial Evaluating the Impact of Web-Based Information on Breast Cancer Patients' Knowledge of Surgical Treatment Options by Tucholka, Jennifer L., Yang, Dou-Yan, Bruce, Jordan G., Steffens, Nicole M., Schumacher, Jessica R., Greenberg, Caprice C., Wilke, Lee G., Steiman, Jennifer, Neuman, Heather B.

“…Previous research suggests that providing information to women newly diagnosed with breast cancer, during the gap between cancer diagnosis and their first…”
Get full text

Cardiopulmonary Resuscitation and Benefit to Patients With Metastatic Cancer--Reply by Schwarze, Margaret L, Nabozny, Michael J, Steffens, Nicole M

Get more information

Oncologists’ Perspectives of Their Roles and Responsibilities During Multi-disciplinary Breast Cancer Follow-Up by Neuman, Heather B., Steffens, Nicole M., Jacobson, Nora, Tevaarwerk, Amye, Anderson, Bethany, Wilke, Lee G., Greenberg, Caprice C.

“…Background Improving the quality of follow-up provided to the 3 million U.S. breast cancer survivors is a high priority. Current guidelines do not provide…”
Get full text

Impact of the American College of Surgeons Oncology Group (ACOSOG) Z0011 trial on Clinical Management of the Axilla in Older Breast Cancer Patients: A SEER-Medicare Analysis by Caretta-Weyer, Holly, Greenberg, Caprice G., Wilke, Lee G., Weiss, Jennifer, LoConte, Noelle K., Decker, Marquita, Steffens, Nicole M., Smith, Maureen A., Neuman, Heather B.

“…Background American College of Surgeons Oncology Group (ACOSOG) Z0011 demonstrated that eligible breast cancer patients with positive sentinel lymph nodes…”
Get full text

Feasibility of Providing Web-Based Information to Breast Cancer Patients Prior to a Surgical Consult by Bruce, Jordan G., Tucholka, Jennifer L., Steffens, Nicole M., Mahoney, Jane E., Neuman, Heather B.

“…Patients facing decisions for breast cancer surgery commonly search the internet. Directing patients to high-quality websites prior to the surgeon consultation…”
Get full text

Navigating high-risk surgery: protocol for a multisite, stepped wedge, cluster-randomised trial of a question prompt list intervention to empower older adults to ask questions that inform treatment decisions by Taylor, Lauren J, Rathouz, Paul J, Berlin, Ana, Brasel, Karen J, Mosenthal, Anne C, Finlayson, Emily, Cooper, Zara, Steffens, Nicole M, Jacobson, Nora, Buffington, Anne, Tucholka, Jennifer L, Zhao, Qianqian, Schwarze, Margaret L

“…IntroductionOlder patients frequently undergo operations that carry high risk for postoperative complications and death. Poor preoperative communication…”
Get full text

A Randomized Controlled Trial Evaluating the Impact of Pre-consult Information on Patients’ Perception of Information Conveyed and Satisfaction with the Decision-making Process by Stankowski-Drengler, Trista J., Tucholka, Jennifer L., Bruce, Jordan G., Steffens, Nicole M., Schumacher, Jessica R., Greenberg, Caprice C., Wilke, Lee G., Hanlon, Bret, Steiman, Jennifer, Neuman, Heather B.

Get full text